NPIMap

Organization Active NPI

Stillaguamish Tribe of Indians

  • Methadone Clinic
  • Arlington, WA
National Provider Identifier
1225076730
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
31113900 Issued in WA
Legal business name
STILLAGUAMISH TRIBE OF INDIANS
Practice address
4126 172ND St NE
Arlington, WA 98223-6384
Phone
(360) 653-1104
Fax
(360) 657-2884
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas E. Ashley
Title
Director, Social & Health Services
Phone
(360) 653-1104

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X WA
Adolescent and Children Mental Health Clinic/Center 261QM0855X WA
Methadone Clinic 261QM2800X 31113900 WA Primary

Addresses

Primary practice location

4126 172ND St NE
Arlington, WA 98223-6384

Mailing address

4126 172ND St NE
Arlington, WA 98223-6384
Phone (360) 653-1104

National Provider Directory

National Provider Directory
Tax ID family
Stillaguamish Tribe of Indians11 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1225076730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 172ND ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236384",
            "telephone_number": "360-653-1104",
            "fax_number": "360-657-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 172ND ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236384",
            "telephone_number": "360-653-1104",
            "fax_number": "360-657-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLAGUAMISH TRIBE OF INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR, SOCIAL & HEALTH SERVICES",
        "authorized_official_telephone_number": "360-653-1104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "WA",
            "license": "31113900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.